Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Jonathan P Ludlow, OD

Individual provider Optometrist · NPI 1417939604

Dr. Jonathan P Ludlow, OD is an Optometry in Fort Drum, New York. Graduated from Illinois College of Optometry at Chicago in 1999, 27 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in New York.

Years since qualifying
27
Trained at
Illinois College of Optometry at Chicago
Licensed in
NY
In the registry since
2005
What do these letters mean?
OD — Doctor of Optometry
An optometrist: examines eyes, prescribes glasses and contacts, and treats many eye conditions.

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Practice location Address checks out

10730A Enduring Freedom Dr Ste A
Fort Drum, NY 13602-5405
Phone: (315) 405-8671
Fax: (315) 773-1820
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Optometrist (primary) Taxonomy 152W00000X · Licence TUV0061121 (NY)

Record details

NPI number1417939604
Entity typeIndividual (Type 1)
GenderMale
Credentials OD
Sole proprietorYes
NPI enumeratedNovember 15, 2005
Last updated in NPPESNovember 29, 2023
Certification dateNovember 29, 2023
Mailing address10730a Enduring Freedom Dr, Fort Drum, NY 13602-5405

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOPTOMETRY
Medical schoolILLINOIS COLLEGE OF OPTOMETRY AT CHICAGO
Graduated 1999 (27 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Fort Drum